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本文回顾性分析223例高龄肾脏病患者肾脏病变的病理分型及临床特点。其中原发性肾炎占65.5%;各类继发性肾脏病占34.5%,且随着年龄增长,继发性肾脏病的发病率逐渐增加。原发性肾炎中,以膜性肾病最常见;继发性者则以糖尿病、肾淀粉样变性多见。近年来,高龄患者中急性间质性肾炎及坏死性血管炎有所增多.肾病综合征及持续性尿检异常是最常见的初发临床表现,ARF的发病率有所升高。与青年人相比,高龄患者存在明显的肾小管-间质受损害的实验室及病理改变证据。
This retrospective analysis of 223 cases of elderly patients with renal disease pathological classification and clinical features. Of which 65.5% of primary nephritis; all types of secondary renal disease accounted for 34.5%, and with age, the incidence of secondary kidney disease increased. Primary nephritis, the most common membranous nephropathy; secondary to diabetes, renal amyloidosis more common. In recent years, elderly patients with acute interstitial nephritis and necrotizing vasculitis have increased nephrotic syndrome and persistent urinalysis is the most common initial clinical manifestations, the incidence of ARF increased. Elderly patients have evidence of tubulointerstitial compromised laboratory and pathological changes compared to young adults.